| Evergreen Healthcare Center | |
| 924 Charlie's Way, Montpelier, Ohio 43543 | |
| (419) 485-8307 | |
| Name | Evergreen Healthcare Center |
|---|---|
| Location | 924 Charlie's Way, Montpelier, Ohio |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 69 |
| Occupancy Rate | 61.74% |
| Medicare ID (CCN) | 365495 |
| Legal Business Name | Robinair Leasing Co., LLC |
| Ownership Type | For Profit - Corporation |
| Chain | Communicare Health (110 nursing homes) |
| Chain Average Overall Rating | 3.2 out of 5 |
| NPI Number | 1700384005 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | Robinair Leasing Co., LLC |
| Doing Business As | Evergreen Healthcare Center |
| Address | 924 Charlies Way, Montpelier, OH 43543 |
| Phone Number | 419-485-8307 |
| NPI Number | 1760583272 |
| Match | Possible same name, address or phone number |
| Organization Name | Essex Healthcare Corporation |
| Doing Business As | Evergreen Manor Nursing Home |
| Address | 924 Charlies Way, Montpelier, OH 43543 |
| Phone Number | 419-485-8307 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 3.27 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.6 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 1 | 0.86 |
| Nurse aide hours per resident per day | 1.67 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 2.94 | 3.42 |
| RN hours per resident per day on the weekend | 0.42 | 0.48 |
| Physical therapist hours per resident per day | 0.03 | 0.07 |
| Total nursing staff turnover | 46.5% | 45.8% |
| Registered nurse turnover | 0% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | $0 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Apr 9, 2026 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. F0805, Nutrition and Dietary, Standard inspection | Potential for harm, pattern | Corrected by May 8, 2026 |
| Apr 9, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by May 8, 2026 |
| Apr 9, 2026 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by May 8, 2026 |
| Apr 9, 2026 | Provide care and assistance to perform activities of daily living for any resident who is unable. F0677, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 8, 2026 |
| Apr 9, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 8, 2026 |
| Apr 9, 2026 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 8, 2026 |
| Apr 9, 2026 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection, Complaint inspection | Potential for harm, isolated | Corrected by May 8, 2026 |
| Apr 9, 2026 | Provide or obtain dental services for each resident. F0791, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by May 8, 2026 |
| Apr 9, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by May 8, 2026 |
| Jan 18, 2023 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. F0600, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Immediate jeopardy, isolated | Corrected by Feb 14, 2023 |
| Jan 18, 2023 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. F0689, Quality of Life and Care, Standard inspection | Actual harm, isolated | Corrected by Feb 14, 2023 |
| Jan 18, 2023 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Feb 14, 2023 |
| Jan 18, 2023 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Feb 14, 2023 |
| Jan 18, 2023 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 14, 2023 |
| Jan 18, 2023 | Provide enough food/fluids to maintain a resident's health. F0692, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Feb 14, 2023 |
| Jan 18, 2023 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Feb 14, 2023 |
| Jan 18, 2023 | Ensure that residents are free from significant medication errors. F0760, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Feb 14, 2023 |
| Jan 18, 2023 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. F0835, Administration, Standard inspection | Potential for harm, isolated | Corrected by Feb 14, 2023 |
| Jan 18, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Feb 14, 2023 |
| Jan 18, 2023 | Implement a program that monitors antibiotic use. F0881, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Feb 14, 2023 |
| Dec 21, 2021 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 21, 2022 |
| Dec 21, 2021 | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. F0623, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 21, 2022 |
| Dec 21, 2021 | Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. F0625, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 21, 2022 |
| Dec 21, 2021 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted F0655, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Jan 21, 2022 |
| Dec 21, 2021 | Provide safe, appropriate dialysis care/services for a resident who requires such services. F0698, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 21, 2022 |
| Dec 21, 2021 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Jan 21, 2022 |
| Dec 21, 2021 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, isolated | Corrected by Jan 21, 2022 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 4.31 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 0 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 0 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 10.29 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 3.25 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 100 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 97.04 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 0 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 3.66 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 36.8 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 100 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 82.35 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 8.21 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 23.69 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 13.95 | 15.38 |